Organization
SPECTRUM SUPPORTS COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAH HACKETT (OWNER)
(412) 571-1481
Entity
Organization
Contact information
Practice address
470 CARNEGIE DR, PITTSBURGH, PA 15243-2042
(412) 571-1481
Mailing address
470 CARNEGIE DR, PITTSBURGH, PA 15243-2042
(412) 571-1481
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1030220130001
PA
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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